 Good morning, everyone. I will be presenting a paper, Memography, Findings, and Combination with Breast Ultrasonography among symptomatic factors. I'm from Vijay Medical College Civil Hospital, Amsabad. Breast cancer is the most common cancer to occur in women, and it is the second-kating cause of cancer death. Breast lump are common occurrence in female all over the world. The incidence of breast cancer is rising worldwide, especially in the developing countries. Memography has been vitally adopted as a primary screening tool in breast cancer detection and assessment. However, screening in tense breast makes it difficult to detect breast cancer in women. Bacter classification or density, which are supposed by ACR, which defines and classifies as the density. The aim of the study is the utility of the whole breast ultrason and digital mammography to detect the breast patients, and better characterization of patients based on imaging characteristics. The objective of the study is to study the utility of digital mammography and determining sensitivity in screening of breast cancer, determine the continuity of breast ultrasonography as an urgent in detecting the lesions in breast, comparison of digital mammography with ultrasonography in screening of breast, characterization of the lesion according to ACR-Byrard's classification and histopathological correlation wherever applicable. In our study, the observational study of patients of 132 patients who underwent mammography and ultrason in our department from March 2019 to December 2020. The mammography was done on the 13th mammography digital machine with the length size of 11 by 14 inch and two routine views were taken, the standard MLOQ and the CCV. The ultrasonography was performed with the high frequency linear transducer with the frequency of 5 to 30 megahertz. Inclusion criteria, all female patients about 30 years of age coming from breast screening. The cases with pain, alveolar, discharge, for the presence of characterization of the lesion. Exclusion criteria were female patients aged less than 30 years, post-operative and post-radation cases and male patients with breast-related complaints. In the discussion, the diagnostic mammography is used to evaluate women with abnormal findings, such as breast, mass, or nipple discharge. The mammography includes views of the breast that should be obtained, CCV and the MLOV. The MLOV will provide the greatest volume of the breast issue, including the upper outer quadrant and the x-ray trail. Compared to the MLOV, the CCV will provide the better visualization of the medial aspect of the breast and permits the greater breast compression. Specific mammography features, which will suggest the diagnosis of a breast cancer, are solid mass with or without standard features, asymmetric thickening of breast tissues, cluster of micro-calcifications. And these micro-calcifications are especially important in the cancer protection in the young woman in whom they will be the only mammographic finding. In alzra sonography, in normal scan, normal alveolar dubs can be seen as a thing, so no loosened branching structures. These are electricity-farer structures, which measure 2 to 4.5 emery in diameter. The appearance of the breast peritama is variable sonographically, and it depends upon the composition of the fatty, the fibers, and the glandular tissue. The fact that the breast is hyper-equipped, the fibrous tissues are ecogenic, and the glandular tissues are intermuted in ecogenicity. The assessment of the ICR bilats, the bilats 1 is normal. The bilat 2 is benign. The bilat C is probably benign. The bilat 4 is suspicious. The bilat 5 is highly suggestive of benign et cetera, and the bilat 6 is more biopsie proven than et cetera. In our observation, the table 1, the frequency of tissue composition on mammographs based upon the breast density on mammogram, A, B, C, and D type of density. The most common type of breast composition was type C, with the frequency being 66, about 50%. The age distribution of the study population, in which the age group are divided from 30 to 40, 41 to 50, 51 to 61 to 17, more than 71. The age distribution of 35 participants reveal the majority of females are in the age group of 41 to 50 years, with the frequency being 50, that is 37.87%. Followed by the age group 31 to 40 years, with the frequency being 38, that is 28.79%. The table 3, in which we divided other tissues according to the bilat classification, which the most common distribution came in the bilat's category 4, which is 38.63%. Then we carried out the diagnostic indices of mammography in differentiating the malignant and the benign tissues, in which the sensitivity which came out to be 91.46%. The specificity, 88.04%. The positive predictive value, 92.86%. And the negative predictive value, 87.04%. Then the diagnostic indices of ultrasonography differentiating the malignant and the benign lesions were seen, in which the sensitivity between 95.85% specificity, 91.67%. Positive predictive value, 95.86%. And the negative predictive value, 90.67%. So the study was to look for the combined effects of the ultrasonography and the mammography. The agreement of findings was done with the combined imaging technology and the histopathological diagnosis. And the diagnostic indices of the combined testing in differentiating the malignant and the benign lesions came out to be sensitivity of 100% specificity, 97.48%. Positive predictive value, 98.19%. And the negative predictive value, 99.41%. So mammography alone, when was done, has a lower sensitivity for around 75 to 90% in detecting the resolutions in 10-pressed. In our study, combining the mammography and ultrasonography debilitated sensitivity and specificity in differentiating malignant and benign lesions. These modalities show diagnostic indices that are statistically significant with higher sensitivity of 100% and specificity of 97.8% of the combined testing. And hence, they helped in detection and characterization of decisions during the screening process. In this study, the lesions based on mammography to the 10-pressed or subsequent detector on ultrason with statistical significance, these two said combined mammography and ultrason helped in detecting and better characterizing the speculurgies. By combining mammography and ultrasonography, it is possible to detect even the small lesions and the few pre-malignant conditions that atypical doctor hyperplasia. In few conditions, possible somrographic negative and mammograph positive calcification can be found for low and targeted biopsies, hyperpollin, such cases. The most common type of cancer on histopathology was found out to be invasive ductal carcinoma. The few cases from our study, this is the case of a 38-year-old female with a pinnacle-pulpable breast lab since four weeks. The mammogram shows high-density irregular shaped mass with the speculated margins and the adjacent architectural distortions associated with the nipple retraction and a few spined biomorphic calcifications were seen. The lesion was in post-proxipative with the bachloritis major muscle and acetylene snobles algebraic. Ultrason image shows irregular shaped hyperpollinic lesion with vascular apian surrounding ecogenic barrenchyma and the infiltrating margins of the tumor was detected. In the case of a 30-year-old female with a pinnacle-pulpable breast lump since three weeks of duration, the mammogram shows the high-density large mass with a loculated margin and pericational halo and a few intralisional around calcifications were noted. The ultrason local image for the patient shows a large hyperpollinic lesion with minimal internal vascular apia and internal sputiafts were noted. This was given by the skeptic history and histopathology author for this data, Vinayin Phanoxythema. This was a third patient with a 40-year-old female with the heart and the sputiafts lump since two months duration. There was no history of fever. The mammogram fit image of the left breast shows high-density lesion with circumscribed margin of mammogram and no associated actual distortion, nipple retraction or pain changes were noted. Evidence of intradition of acid was noted. The ultrason image of the patient shows the circumscribed hyperpollinic lesion with posterior acoustic enhancement was given by the skeptic history for occipital fibroidalema and it came up with the picturine hyperpollinic and histopathological margin. Thank you.